Provider Demographics
NPI:1346712403
Name:ZARGAR, ZAYNAB (CCC-SLP, CBIS)
Entity Type:Individual
Prefix:
First Name:ZAYNAB
Middle Name:
Last Name:ZARGAR
Suffix:
Gender:F
Credentials:CCC-SLP, CBIS
Other - Prefix:
Other - First Name:SHIRIN
Other - Middle Name:
Other - Last Name:ZARGAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:10203 NE 151ST ST
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-7204
Mailing Address - Country:US
Mailing Address - Phone:425-502-1663
Mailing Address - Fax:
Practice Address - Street 1:13501 NE 28TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98682-8091
Practice Address - Country:US
Practice Address - Phone:360-604-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-28
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL60829373235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist